2018
DOI: 10.1186/s12968-018-0495-2
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Quantitative myocardial first-pass cardiovascular magnetic resonance perfusion imaging using hyperpolarized [1-13C] pyruvate

Abstract: BackgroundThe feasibility of absolute myocardial blood flow quantification and suitability of hyperpolarized [1-13C] pyruvate as contrast agent for first-pass cardiovascular magnetic resonance (CMR) perfusion measurements are investigated with simulations and demonstrated in vivo in a swine model.MethodsA versatile simulation framework for hyperpolarized CMR subject to physical, physiological and technical constraints was developed and applied to investigate experimental conditions for accurate perfusion CMR w… Show more

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Cited by 20 publications
(21 citation statements)
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“…This metabolic CMR may potentially be involved also in evaluation of myocardial viability and ischemia in the future. 99,100 Conclusions As laid out in our review of the current literature, CMR plays a leading role in the diagnostic workup of patients with CCS. It allows an assessment of myocardial function, ischemia, and viability within a single noninvasive examination over a short period of time.…”
Section: % 100%mentioning
confidence: 90%
“…This metabolic CMR may potentially be involved also in evaluation of myocardial viability and ischemia in the future. 99,100 Conclusions As laid out in our review of the current literature, CMR plays a leading role in the diagnostic workup of patients with CCS. It allows an assessment of myocardial function, ischemia, and viability within a single noninvasive examination over a short period of time.…”
Section: % 100%mentioning
confidence: 90%
“…Physiological parameters were chosen in a way that metabolism in simulated data reflects metabolism as observed in vivo. Polarization loss due to longitudinal relaxation was assumed to be spatially invariant (T1,pyr = T1,pyrH = 30 seconds, T1,lac = T1,bic = T1,ala = 20 seconds 36 ), and applied to the signal dynamics (td = 0, 2, …, 80 seconds). High‐resolution (1 × 1 mm 2 in‐plane) anatomical masks were derived as a stack of 2D slices from segmentations of in vivo proton‐based cardiac images in short‐axis view, and scaled according to the metabolic signal dynamics.…”
Section: Methodsmentioning
confidence: 99%
“…Absolute myocardial blood flow quantification would be preferred and hyperpolarized 13 C pyruvate contrast offers this opportunity. In this theoretical and swine study by Fuetterer and co-workers [173], simulations and in-vivo swine images suggested that 13 C pyruvate contrast provided sufficient SNR for both absolute and semi-quantitative perfusion.…”
Section: Animal Modelsmentioning
confidence: 97%